UNITED STATES COURT OF APPEALS FOR THE SECOND CIRCUIT
AGENCY APPEAL PRE-ARGUMENT STATEMENT (FORM C-A)
9 APPLICATION FOR ENFORCEMENT 9 PETITION FOR REVIEW
1. SEE NOTICE ON REVERSE. 2. PLEASE TYPE OR PRINT. 3. STAPLE ALL ADDITIONAL PAGES.
CAPTION: AGENCY NAME: AGENCY NO.:
DATE THE ORDER UPON WHICH
REVIEW OR ENFORCEMENT IS
SOUGHT WAS ENTERED BELOW:
ALIEN NO :
(Immigration Only)
DATE THE PETITION OR
APPLICATION WAS FILED:
Is this a cross-petition for review /
cross-application for enforcement?
9 YES 9 NO
Contact
Information
for
Petitioner(s)
Attorney:
Counsel’s Name: Address: Telephone No.: Fax No.: E-mail:
Contact
Information
for
Respondent(s)
Attorney:
Counsel’s Name: Address: Telephone No.: Fax No.: E-mail:
JURISDICTION
OF THE COURT
OF APPEALS
(provide U.S.C.
title and section):
APPROX. NUMBER
OF PAGES IN THE
RECORD:
APPROX.
NUMBER OF
EXHIBITS IN
THE RECORD:
Has this matter been before this Circuit previously? 9 Yes 9 No
If Yes, provide the following:
Case Name:
2d Cir. Docket No.: Reporter Citation: (i.e., F.3d or Fed. App.)
ADDENDUM “A”: COUNSEL MUST ATTACH TO THIS FORM: (1) A BRIEF, BUT NOT PERFUNCTORY, DESCRIPTION OF THE
NATURE OF THE ACTION; (2) THE RESULT BELOW; AND (3) A COPY OF ALL RELEVANT OPINIONS/ORDERS FORMING THE
BASIS FOR THIS PETITION FOR REVIEW OR APPLICATION FOR ENFORCEMENT.
ADDENDUM “B”: COUNSEL MUST ATTACH TO THIS FORM: (1) THE RELIEF REQUESTED; (2) A LIST OF THE PROPOSED
ISSUES; AND (3) THE APPLICABLE APPELLATE STANDARD OF REVIEW FOR EACH PROPOSED ISSUE.
PART A: STANDING AND VENUE
STANDING
PETITIONER / APPLICANT IS:
9 AGENCY 9 OTHER PARTY
9 NON-PARTY (SPECIFY STANDING):
VENUE
COUNSEL MUST PROVIDE IN THE SPACE BELOW THE FACTS OR
CIRCUMSTANCES UPON WHICH VENUE IS BASED:
IMPORTANT. COMPLETE AND SIGN REVERSE SIDE OF THIS FORM.
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PART B: NATURE OF ORDER UPON WHICH REVIEW OR ENFORCEMENT IS SOUGHT
(Check as many as apply)
TYPE OF CASE:
ADMINISTRATIVE REGULATION/ RULEMAKING IMMIGRATION-includes denial of an asylum claim
BENEFITS REVIEW IMMIGRATION-does NOT include denial of an asylum claim
UNFAIR LABOR TARIFFS
HEALTH & SAFETY OTHER:
COMMERCE (SPECIFY)
ENERGY
1. Is any matter relative to this petition or application still pending below? 9 Yes, specify: 9 No
2. To your knowledge, is there any case presently pending or about to be brought before this Court or another court or administrative agency
which:
(A) Arises from substantially the same case or controversy as this petition or application ? 9 Yes 9 No
(B) Involves an issue that is substantially similar or related to an issue in this petition or application ? 9 Yes 9 No
If yes, state whether 9 “A,” or 9 “B,” or 9 both are applicable, and provide in the spaces below the following information on the other action(s):
Case Name: Docket No. Citation: Court or Agency:
Name of Petitioner or Applicant:
Date:
Signature of Counsel of Record:
NOTICE TO COUNSEL
Once you have filed your Petition for Review or Application for Enforcement, you have only 14 days in which to complete the
following important steps:
1. Complete this Agency Appeal Pre-Argument Statement (Form C-A); serve it upon your adversary, and file it with the
Clerk of the Second Circuit in accordance with LR 25.1.
2. Pay the $500 docketing fee to the Clerk of the Second Circuit, unless you are authorized to prosecute the appeal without payment.
PLEASE NOTE: IF YOU DO NOT COMPLY WITH THESE REQUIREMENTS WITHIN 14 CALENDAR DAYS, YOUR
PETITION FOR REVIEW OR APPLICATION FOR ENFORCEMENT WILL BE DISMISSED. SEE LOCAL RULE 12.1.
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